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Home My WebLink About2014-01062 - gas fireplace CITY OF ORONO * 2014 - 01062 * 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2014 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS 3955 WATERTOWN RD PIN 32-118-23-32-0004 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-GAS VALUATION $4,395.00 NOTE: HEAT&GLO,MODEL HEIR36T GAS FIREPLACE APPLICANT MECHANICAL 54.94 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.20 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 59.14 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 59.14 OWNER BUTTERFIELD,LOREN V 3955 WATERTOWN RD MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date 09-18—'14 14:45 FROM— T-959 P0001/0004 F-060 , � . .� t �_ aU I p9g:CI71'.Y,UST ONLY City of Orono i V P.O.Box 66 batm.Receivra:.' Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 ;,AP By, Amount.$. i Phone(952)249-4600 Fax(952)249.4616 ....:.:.: :: ::...... ...... E CITY OF ORONO-MECHANICAL PERMIT KFst 10 (All Commercial permits must be approved by the Building Official or Insppetor and/or Piro Marshall i GMERALA ZIp1viATYON r 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is oompletod. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. 'WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit most be obtained. k 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249.4600. (24-49 hour notice required) 7. House Heating Test Record must be submitted before final. CliecVAll,'I. A I �Zdenlial ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace i I Job;Sitea;pr�nerIiaforination; ,.. N&� erimn Etact Site Address: Owner:_P� `\(;�( "OW6 %*CrMailing Address: b_ ly (�. ( - City: _P KA w ax_ b zip: '-7 ; Horne phdrle`. ^q 1 7M Alternaatte Phones :Contractor Information:: i E HEARTH &HOME TECH NO Contractor: d"� FIRFSTr)F HEARTH h HCt';Contact Person: Llc BC6626$6 Address: 2700 FAIRVIEW AVENUE N State Bond#;!: RO a.:ii i4p; mi &HOME"TECHNOLOGIES City: 651.633 tp61 Expiration Date: c a FIRESIDE HEARTH &HOME Lic BC6M56 Phone: Alternate Phone: 2700 FAIRVIEW AVENUE N ❑ Insurance-Current: 651.633.256 . 1 i 09-18-'14 14:45 FROM- T-959 P0002/0004 F-060 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes Cg,<o i HEATING SYSTEMS [[i Quantity: r, t Make: VL r Model: s Fuel: a at CIA Flue Size: Input BTUs: Output BTUS., CPM: COOLING SYSTEMS Quantity: Make: Model: Tons: H,Power FIREPLACES Gas Factory Fireplace Brand Name- Wood Burning Fireplace ` Q Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION i ❑ No. Kitchen Exhaust duct recirculating efm ❑❑ No. Bath Exhaust(must have duct outside) efm No. Other Fans: Locations cfm i FUER.STORAGE (Mast be approved by Fire Marshall ifproposing to abandon lank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground []Inside ❑Outside LP Gas: gallons Other: i GAS LINE ONLY [] Outdoor Grill ❑ Other/List What&Where: 2 I I 09—�8—'14 14:45 FROM— T-959 P0003/0004 F-060 ❑ Yes,this section applies t The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a 191la cost of$500.00 or less;excludin the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. i Skip next section,if this applies; Cost of Permit $ 15.00 i State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ R0 '�/y0�/(4�O(�� R; t. WIN yyQ '�, -.V'.6zH!'111�F.� ..��.1. :� .Q4.. .!P. I If above does not apply;follow guidelines below: f 1. CONTRACT PRICE "is 1.25%of contract price with a(Minimum Fee of$50.00) ( x.0125$ 5 I ,_T_ (contract price) (minimum$50.00) 2. STATE SURCHARGE 5 C I X.0005 $ � ► .-."r (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.60 � j /q 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ✓� i ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment, labor or installations are furnished by the owner,tenant or any other parry,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. i i I The undersigned hereby applies to the City for issuance of a Mechanical permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. i a Applicant's Signature; � Date: ( � I I 3 G- TE TIME CITY OF ORONO CALLED IN �- Z- INSPECTION NOTICE 'J S��HEDULED -O PERMIT NO. odd " �7MPLETED ADDRESS -3-F.5-5- -- '/�./- OWNER T EPHONE NO.�� AV_ /�6t57 CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ElMECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL Z09:114SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS Cl FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: QZ W , Q � �QNC�ra�toK S .tip Sp4lceJ�" Q: Jag J r ch«l,�'.�.t �a�ac coo r c��'Ks -f�.syro ❑WORK SATISFACTORY:PROCEED „ P L�� ✓ ❑PROJECT COM cc PL W ❑CORRECT WORK&PROCEED r�wt K 0 ISSUE CERTIFICATE OF OCCUPANCY CORRECT WORK,CALL FOR REINSPECTION S TEMPORARY �j BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAL TO ARRANGE ACCESS. eS� Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor onsite:_/� Inspector. n. ! `-�"" 7� White CopylInspector's File Canary Copy/Site Notice DAIE TIME CITY OF ORONO CALLED IN 9` INSPECTION TI ^ SCHEDULED PERMIT NO �tJb�COMPLErED ADDRESS �'�Rs� OWNER - TEL HON NO&ZIRJ/ o CONTRACTOR DESCRIPTION W FOOTING ElPLMB FINAL XCAWGRADING/FILLING H ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC y�rl�tks 0 lie—;,4, e. l g sQC tZ t O T W 2 Q _ /n bLlj rJ a 4 r " G Lc 6I�t � toe W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE WtPAO WMCTWORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: �- Inspector. White Copyllnspector's File Canary CopylSite Notice